Provider Demographics
NPI:1326220153
Name:LUBORSKY, BARBARA ANN (OTRL)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:LUBORSKY
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9093 RIDGEFIELD DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-6711
Mailing Address - Country:US
Mailing Address - Phone:301-846-4769
Mailing Address - Fax:301-846-0059
Practice Address - Street 1:9093 RIDGEFIELD DR
Practice Address - Street 2:SUITE 102
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6711
Practice Address - Country:US
Practice Address - Phone:301-846-4769
Practice Address - Fax:301-846-0059
Is Sole Proprietor?:No
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD03021225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist